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Individual

DR. CHRISTOPHER ODELL BIBB

Active
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Individual

DR. CHRISTOPHER ODELL BIBB

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Taxonomy

Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
01060395A
IN
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
M5635
TX
207ZP0104X
Chemical Pathology Physician
M5635
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1927220
—
TX
01
—
8K4032
MEDICARE
TX
Enumeration date
05/07/2007
Last updated
10/28/2014
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